In Progress

create subscription form PHP/MYSQL

I need someone who can create a subscription form login in PHP. This form must be able to connected to a mysql database (phpmyadmin).

this is an example of the fields I want (I have about 10 fields) :

name

nickname

city

age

description

upload image

* is it important that you can create a field upload image.

Note: This is only a subcription form so the user must receive their info by mail, insert info in my database and a confirmation email will be sent and the user must activate it in his email box to be accepted. The database is already create but you will need to tell me how to create the field for the upload image (I think that it need a blob field). Finally, i'll give you the mysql connection file.

Thank you !

Note my site is hosted on the web and not in my localhost

## Deliverables

1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.

2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables):

a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment.

b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request.

3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement).

## Platform

"Windows XP", "in all 3.0+ versions of Internet Explorer and Netscape",

Skills: Engineering, MySQL, PHP, Software Architecture, Software Testing

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